NPI age
18 years
Enumerated 2007-09-21
Across 1389 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10050810 | AMERIGROUP |
| 01 (GA) | 52876062003 | BCBS |
| 05 (GA) | 856357016A | |
| 01 (GA) | 325964 | WELLCARE |
Multi-site organization. 2 additional practice locations on file.
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